Garvey Sean M, Miller Sara E, Claflin Dennis R, Faulkner John A, Hauser Michael A
Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA.
Hum Mol Genet. 2006 Aug 1;15(15):2348-62. doi: 10.1093/hmg/ddl160. Epub 2006 Jun 26.
Myotilin is a muscle-specific Z-disc protein with putative roles in myofibril assembly and structural upkeep of the sarcomere. Several myotilin point mutations have been described in patients with limb-girdle muscular dystrophy type 1A (LGMD1A), myofibrillar myopathy (MFM), spheroid body myopathy (SBM), three similar adult-onset, progressive and autosomal dominant muscular dystrophies. To further investigate myotilin's role in the pathogenesis of these muscle diseases, we have characterized three independent lines of transgenic mice expressing mutant (T57I) myotilin under the control of the human skeletal actin promoter. Similar to LGMD1A and MFM patients, these mice develop progressive myofibrillar pathology that includes Z-disc streaming, excess myofibrillar vacuolization and plaque-like myofibrillar aggregation. These aggregates become progressively larger and more numerous with age. We show that the mutant myotilin protein properly localizes to the Z-disc and also heavily populates the aggregates, along with several other Z-disc associated proteins. Whole muscle physiological analysis reveals that the extensor digitorum longus muscle of transgenic mice exhibits significantly reduced maximum specific isometric force compared with littermate controls. Intriguingly, the soleus and diaphragm muscles are spared of any abnormal myopathology and show no reductions in maximum specific force. These data provide evidence that myotilin mutations promote aggregate-dependent contractile dysfunction. In sum, we have established a promising patho-physiological mouse model that unifies the phenotypes of LGMD1A, MFM and SBM.
肌联蛋白是一种肌肉特异性的Z盘蛋白,在肌原纤维组装和肌节的结构维持中可能发挥作用。在1A型肢带型肌营养不良(LGMD1A)、肌原纤维肌病(MFM)、球状体肌病(SBM)患者中已描述了几种肌联蛋白点突变,这三种疾病都是相似的成人发病、进行性且常染色体显性遗传的肌营养不良症。为了进一步研究肌联蛋白在这些肌肉疾病发病机制中的作用,我们对在人骨骼肌肌动蛋白启动子控制下表达突变型(T57I)肌联蛋白的三个独立转基因小鼠品系进行了表征。与LGMD1A和MFM患者相似,这些小鼠出现进行性肌原纤维病理改变,包括Z盘流、肌原纤维过度空泡化和斑块状肌原纤维聚集。随着年龄增长,这些聚集体逐渐变大且数量增多。我们发现突变型肌联蛋白蛋白正确定位于Z盘,并且与其他几种Z盘相关蛋白一起大量存在于聚集体中。全肌肉生理分析表明,与同窝对照相比,转基因小鼠的趾长伸肌最大比等长力显著降低。有趣的是,比目鱼肌和膈肌未出现任何异常肌病理改变,最大比力也未降低。这些数据证明肌联蛋白突变会促进依赖聚集体的收缩功能障碍。总之,我们建立了一个有前景的病理生理小鼠模型,该模型统一了LGMD1A、MFM和SBM的表型。